liveyourlife747

liveyourlife747

Home Health/PD

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All Content by liveyourlife747

  1. Anxiety

    liveyourlife747 replied to adamsmom2's topic in Health, Stress Management

    I get like that too. Normally though about small things that I make a big deal in my head. Like the way I did something that my preceptor would do a different way. Stupid stuff. I find it is worse...

  2. What color do you wear?

    liveyourlife747 replied to Lorien_LPN's topic in Medical-Surgical

    All RNs on the floors hospital wide wear Caribbean blue. Each position has a specific color. Specialty units like l&d, er, and pacu wear hospital issued navy scrubs. I think the uniformity of the...

  3. Annoyed with nurses at PDN case (vent)

    liveyourlife747 replied to SDALPN's topic in Private Duty

    Wow! Just wow! I would have to hold my tongue. She's obviously not being safe to the pt at all! I would continue to tell the agency what's going on until something changes. Make sure you document how...

  4. Can an employer or potential employer ask for Medical records

    liveyourlife747 replied to Sheri_nichols28's topic in Nurse Disabilities

    I know when I had my employee health screen the nurse was not able to access my medical records. Not even to check my immunizations. So hopefully hippa is on our side, but you never really know. See...

  5. Do you feel like a babysitter?

    liveyourlife747 replied to faithtra's topic in Private Duty

    Sometimes I feel like a babysitter, but you would be surprised at the skills you learn from home care! You still would get medication administration, peg/gt/ngt, wound care, vents, trachs, PT/OT/ST...

  6. Pediatric homecare nurse wants to enter med surg unit..

    liveyourlife747 replied to MS_SUNNYSIDE's topic in Medical-Surgical

    Well, I'm not sure if a refresher course would be worth it honestly. I worked in pediatric home care for 4 years as an LPN and just received my RN and transferred to a med-surg unit at my local...

  7. Is this legal?

    liveyourlife747 replied to RN1263's topic in Home Health

    At our agency, if a nurse sets it up, or the pharmacy sends it in a bubble pack, and the client is unable to put the meds in their mouth, then it is ok for the aide to give it. they should not give...

  8. Memorial Day weekend night shift - canceled w/only 4hr notice?!

    liveyourlife747 replied to itri4vt's topic in Home Health

    Four hours is a lot of notice to me. Normally I don't get a call until I'm halfway to my pts house. Usually, if something like that would happen, we would get at least 4 hours of pay, but if we aren't...

  9. Help identifying lung sounds of vent baby

    liveyourlife747 replied to n315,lpn's topic in Private Duty

    I work in home care with the peds vent cases. The things I document frequently about lung sounds are rhonci, crackles, and wheezing. If they just sound congested or it doesn't quite sound like a...

  10. Ever get spooked on night shift?

    liveyourlife747 replied to CloudySue's topic in Private Duty

    I usually don't get spooked, but last night I got so freaked out until I figured out what the strange noise was, then it made me laugh. I was sitting in the living room (ct has g-tube, no vent so no...

  11. Online Module on (Home) Pediatric Ventilators?

    liveyourlife747 replied to VickyRN's topic in Pediatric

    there are some sites on the the pulmonary forums on here I believe. Also the vent comes with a manual (should be close to the vent, hopefully), and if a good respiratory supply company rents the...

  12. Pediatric Littman?

    liveyourlife747 replied to smurfynursey's topic in Pediatric

    I have the cardiology III which has a peds and adult bell on it, but I work home care and have both Peds and Adult cases, so it works well for me. As for you, I would definitely consider getting a...

  13. new pdn job

    liveyourlife747 replied to shortscrubbs108's topic in Private Duty

    hope things are going well with the new job! the advice i can offer is to do things age appropriate for the child, know what he/she likes to do/play/watch. you definitly have to be yourself, and open...

  14. Suctioning in the classroom?

    liveyourlife747 replied to Not_A_Hat_Person's topic in Private Duty

    I think it really depends on the child and the situation. We have a few that we suction in the classroom. On the first day of school, the nurse who is with the client usually tells the "mainstream"...

  15. How do you clean Mickey bolus extensions ?

    liveyourlife747 replied to systoly's topic in Private Duty

    We have one client's parents bleach the tubes (a capful in a basin of water) I've also seen some be put through the dishwasher. Sometimes they just get discolored, that's why they are supposed to be...

  16. Trach removal-How long till G-tube dc'd?

    liveyourlife747 replied to Blackcat99's topic in Private Duty

    Thanks great that your case is able to be decanulated! Im not sure how long the gtubes stay in after they are not receiving tube feedings, I think it depends on the parents wishes and the condition of...

  17. What to do at school

    liveyourlife747 replied to Not_A_Hat_Person's topic in Private Duty

    this situation frustrates me so bad. there has been only one class ive been to (out of 4 special ed) that the teachers actually work with the kids and the nurses did only the nursing stuff. We even...

  18. 2010 LPN/LVN hourly wage

    liveyourlife747 replied to anonymous1919's topic in LPN, LVN Corner

    Wow, I am shocked at how low LPNs get paid! I get paid based on insurance status of our private duty case through an agency in virginia: medicaid/respite pay (all shifts): $13.50/hr daytime private...

  19. Pediatric pulse oximeter

    liveyourlife747 replied to catonmylap's topic in Pediatric

    we use them on all vent children. not sure if they give them to only trached children, but it would be worth a try to call your local medical supply company to see how to get one. the one that our...

  20. It cost me $59.25 just to apply for a job?

    liveyourlife747 replied to Blackcat99's topic in Private Duty

    we dont have to pay for TB or CPR. We didn't even have to pay for fingerprinting when it was required by the school systems for the nurses to go to school with the kids. We had a $15 background check...

  21. At School With Child. What to Wear?

    liveyourlife747 replied to PediLove2147's topic in Private Duty

    We are required to wear scrubs to all our clients, which includes during school. The kids in my clients class know who to go to if they notice something before I do (most of the time I notice things,...

  22. Vent and Trach Certification

    liveyourlife747 replied to Lovelydove LPN's topic in Private Duty

    We never got certified, just trained. Each ventilator should have a manual that goes along with it that should be close to the vent. We learned trach care in school but did not get a lot of experience...

  23. ltv 950 vents

    liveyourlife747 replied to smartnurse1982's topic in Private Duty

    I've been told the secretions usually get pushed up and out the nose/mouth when the client is on the vent and awake, but for when the client is asleep, I would agree that either the secretions pool or...

  24. cough assists,cpt vests

    liveyourlife747 replied to smartnurse1982's topic in Pulmonary

    I use a cough assist with one of my vent pts in their home. I don't use it every time I suction, only when she asks. I think it is a great invention for those who are unable to cough effectively....

  25. Downtime in the home??

    liveyourlife747 replied to latebloomrn's topic in Private Duty

    our families that we have are very open to what you do in the free time as long as their child gets the proper care. most nurses bring their laptops to atleast 2 of our clients homes because there is...